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Safety Occurrence Form
First Name
Last Name
Email
Phone Number
Date of Occurrence
Time of Occurrence
Region
Pacific Region
Prairie Region
Central Region
St. Laurent Region
Atlantic Region
Branch
Abbotsford Tower
Boundary Bay Tower
Bytown
Calgary Tower
Edmonton ACC
Edmonton Tower (Gateway Branch)
Fort McMurray Tower
Fredericton Tower
Gander ACC
Gander Tower
Halifax Tower
Hamilton Tower
Happy Valley. - Goose Bay (Serco)
Kelowna Tower
Langley Tower
London Tower
Mirabel Tower
Moncton ACC
Moncton Tower
Montreal ACC
Montreal Dorval Tower
Oshawa Tower
Ottawa Tower
Pitt Meadows Tower
Prince George Tower (Cariboo Branch)
Quebec Tower
Red Deer Tower
Regina Tower
Saskatoon Tower
Sault Ste. Marie Tower
Springbank Tower (Foothills Branch)
St-Honoré Tower
St. Andrews Tower
St. Hubert Tower
St. Jean Tower
St. John’s Tower
Technology
Thunder Bay Tower
Toronto ACC
Toronto City Center Tower
Toronto Tower
Transport Canada Branch
Vancouver ACC
Vancouver Harbour Tower
Vancouver Tower
Victoria Tower
Villeneuve Tower
Waterloo Tower
Whitehorse Tower (Klondike Branch)
Windsor Tower
Winnipeg ACC
Winnipeg Tower
Yellowknife Tower (Great Slave Branch)
Is the occurrence a violation of
Canada Labour Code (CLC)
Collective Agreement
Canadian Aviation Regulations (CARS)
Navigation Services Commercialization Act (CANSCA)
NAV Canada internal documents and procedures, i.e. Fatigue rules
Other
Not Sure
Is the occurence a violation of: "Other"
Occurrence summary/description of events*
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